JENNIFER CARLSON LPC
NPI 1194299933
Counselor - Professional in Marietta, GA
About Jennifer Carlson Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER CARLSON LPC (NPI 1194299933) is an individual professional provider in Marietta, Georgia, licensed in Georgia (LPC010544) and active in the NPI registry since January 2019. She has opted out of Medicare through February 7, 2028 and maintains a secondary practice location in Johns Creek.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jennifer Carlson Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 7, 2024 through February 7, 2028.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARIETTA, GA 30067
MARIETTA, GA 30067
MARIETTA, GA 30067
MARIETTA, GA 30067
MARIETTA, GA 30067
MARIETTA, GA 30067
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jennifer Carlson's NPI number?
The NPI number for Jennifer Carlson is 1194299933. It was assigned to this individual provider in the NPPES registry on January 15, 2019.
Where is Jennifer Carlson located?
Jennifer Carlson practices at 1640 Powers Ferry Rd SE Building 2 Ste 150, Marietta, GA 30067. The listed phone number is (770) 726-9624.
What is Jennifer Carlson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jennifer Carlson enrolled in Medicare?
No. Jennifer Carlson has opted out of Medicare through February 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jennifer Carlson was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jennifer Carlson, LPC · NPI 1194299933
Professional provider in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since January 15, 2019.
## Identity
- **NPI:** 1194299933 (Entity type: Individual)
- **Enumerated:** January 15, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC010544 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1640 POWERS FERRY RD SE, BUILDING 2 STE 150, Marietta, GA 30067
- **Phone:** (770) 726-9624
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 7, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** January 15, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1194299933) · Data from the CMS NPPES public registry.